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脑出血急性期并发下肢深静脉血栓常被忽视,现将我们遇见的4例报道如下。病例摘要例1:女,49岁,突然头痛、呕吐、意识障碍,当日入院。查体:左半身瘫,左Babinski征(+)。脑CT所见:右基底节3×3.5cm高密度灶。给止血敏、甘露醇等治疗第4天,左下肢肿胀、疼痛,皮肤不红,较右下肢明显增粗。临床诊断:(1)脑出血。(2)左下肢深静脉血栓形成。
Acute cerebral hemorrhage complicated by deep vein thrombosis often overlooked, now we meet 4 cases reported below. Case Summary Example 1: Female, 49 years old, sudden headache, vomiting, disturbance of consciousness, hospitalized the same day. Physical examination: left body paralysis, left Babinski sign (+). Brain CT findings: right basal ganglia 3 × 3.5cm high-density stove. To the hemostatic sensitivity, mannitol and other treatment 4 days, left lower extremity swelling, pain, skin is not red, significantly thicker than the right lower limb. Clinical diagnosis: (1) cerebral hemorrhage. (2) left lower extremity deep vein thrombosis.